Effects of Horse Riding Simulator With or Without Visual Feedback on Balance and Postural Control

Cerebral Palsy Clinical Trial

Official title:

Effects of Horse Riding Simulator With or Without Visual Feedback on Balance and Postural Control in Children With Spastic Cerebral Palsy

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06231147
• Other study ID #: REC/RCR&AHS/23/0765
• Status: Completed
• Phase: N/A
• Start date: December 1, 2023
• Est. completion date: February 5, 2024

Study information

• Verified date: June 2024
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Spastic cerebral palsy is a neurological condition that causes muscle spasticity and motor impairments, greatly impacting a child's ability to maintain balance and control their posture. The horse riding simulator (HRS), inspired by hippo therapy, has emerged as a potential therapeutic intervention for enhancing motor function in individuals with cerebral palsy. This study explored the additional effects of mirror visual feedback when used in conjunction with the HRS. Strategically placed mirrors allow participants to observe their own body movements and positions in real-time. The simulator's rhythmic, multidimensional movements deliver sensory input and challenge the motor system, promoting postural adjustments and improved balance. Furthermore, the integration of mirror visual feedback appears to enhance the therapeutic benefits. Real-time visual information enables children to actively observe and correct their body positioning, leading to improved body awareness and more efficient motor responses.

Description:

Cerebral palsy (CP), one of the most common physical disabilities in childhood, is a disorder of movement and posture caused by non-progressive lesions in the developing brain. Children with CP, to varying degrees, have muscle weakness, tone abnormality, and motor-control impairment, causing abnormal posture and poor balance control.In high-income countries, the current birth prevalence of cerebral palsy has decreased to 1.6 per 1000 live births. However, in low- and middle-income countries, the birth prevalence is significantly higher. Children diagnosed with CP exhibit a range of muscle weakness, tone abnormalities, and impaired motor control. These factors contribute to abnormal posture and compromised control over balance

Recruitment information / eligibility

• Status: Completed
• Enrollment: 28
• Est. completion date: February 5, 2024
• Est. primary completion date: February 5, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 8 Years to 12 Years

Eligibility

Inclusion Criteria:

• Spastic cerebral palsy with level I and II according to Gross Motor Function Classification System (GMFCS)
• Age between 8 and 12 years
• Ability to sit and stand independently
• Both genders are included (female and male)

Exclusion Criteria:

• Having received an injection of botulinum toxin within 3 months
• Having undergone orthopedic surgery or selective dorsal rhizotomy in the previous 1 year
• Having undergone HRS training within 6 months;
• Having severe pain, joint dislocation, contracture, or spinal deformity
• Having experienced uncontrolled epileptic seizure
• Having poor visual or hearing acuity.

Related Conditions & MeSH terms

• Cerebral Palsy

Intervention

Other:
• HORSE RIDING SIMULATOR WITH VISUAL FEEDBACK
horse riding simulator session with mirror visual feedback. The participants will be instructed that how to perform exercises by using the horse riding simulator (HRS) system in front of mirror
• HORSE RIDING SIMULATOR WITHOUT VISUAL FEEDBACK
horse riding simulator session without visual feedback. The participants will be instructed that how to perform exercises by using the horse riding simulator (HRS) system.

Locations

Country	Name	City	State
Pakistan	Riphah International University	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (1)

Jung YG, Chang HJ, Jo ES, Kim DH. The Effect of a Horse-Riding Simulator with Virtual Reality on Gross Motor Function and Body Composition of Children with Cerebral Palsy: Preliminary Study. Sensors (Basel). 2022 Apr 10;22(8):2903. doi: 10.3390/s22082903. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pediatric balance scale	The Pediatric Balance Scale is assessment tool specifically designed to evaluate balance in children. It has been extensively used in clinical and research settings to assess balance impairments and monitor progress over time.	8 weeks
Primary	Posture and postural ability scale	Posture and Postural Ability Scale is an assessment tool that allows for posture and postural ability to be assessed independently	8 weeks